Our stance plays an important role in revealing our personality in social life. The spine, which forms our main skeleton, is the basis of this posture. For this reason, spine health is much more important.
How Should a Normal Posture Be?
The spine architecture is designed for standing. Our main skeleton is a structure consisting of joints, muscles and ligaments above the face. This particular architecture constitutes the center of gravity that counteracts gravity; It can perform weight bearing, weight distribution and balancing functions in a certain sequence. This alignment is the basis of our stance. In the abbreviation of B.I.P.E.D, the intellectual infrastructure, which distinguishes the bipedal creature from the vertebrate creatures in terms of content, reveals the spine stance.
This is why the reflection of personalities and moods in our posture is observed. Spinal stance is considered in three dimensions and evaluated in two plans. Our spine is straight in the foreground and background. In the lateral plane, the carrier, balancing function areas are located in the form of concave (Lordose), distribution-balancing regions as convex (Kyphosis), array.
Neck Vertebrae: Lordosis
Back vertebrae: Kyphosis
Lumbar Vertebrae: Lordosis
Coccyx and pelvis (pelvis structure): Kyphosis and anterior sloping (Inclination)
Humpback and Scoliosis (Spine Health)
It is a spinal malalignment disorder, an increase in bending forward (kyphosis) on our back more than it should be.
In fact, although the humpback is a unidirectional deformity (kyphosis) in Turkish, it is the definition of humpback, severe back deformity curvature caused by Scoliosis and the resulting pelvis and shoulder axis imbalance. In this respect, the most important cause of hump is SCOLIOZ disease.
Scoliosis is a rotational 3D deformity of the spine. It can develop congenitally and later. Congenital scoliosis may require early surgical intervention depending on the type because the bones of the vertebrae do not dissociate. Developmental scoliosis is controlled during growth and its increase is tried to be prevented without surgery.
The earlier the age of onset and the faster its progression, the sooner it is to decide on surgical treatment. Surgery is rarely performed below 30 degrees. 40 degrees is an adequate correction angle for surgical decision. During rapid growth, adolescence, follow-up should never be neglected.
Posture Disorder (Spine Health)
Our body is balanced on a straight axis formed by our spine. The lines between the shoulders and the hips are located together with this axis. When the spine axis is disrupted, it will not be possible to balance walking or to use arm power efficiently.
It is inevitable that the misuse of devices that cause non-ergonomic posture, such as the plague of our age, causes not only spinal problems, but also impairments in walking and dexterity, and even impairment of vital functions such as vision, eating, sleep and breathing.
Back Pain Is A Consequence
Spinal pain can also occur as a reflection of internal organ disorders, except for situations caused by the imbalance of the movement system. In this respect, heart, digestive system and urogenital disorders can cause back and low back pain, as well as back hernias can manifest as internal organ pain. Back hernia can mimic a heart attack or an ulcer.
Apart from that, our spine is a system of joints. A complex vertebra and facet joint contents with synovial and disc contents are susceptible to joint injuries and inflammatory consequences of rheumatic diseases. Muscle-ligament and ligament problems will cause pain as they are supported by intense muscle groups. In this respect, the source of the pain is too important to eliminate the presence of pain, which cannot be neglected.
Our spine continues to carry and balance the weight of our body while standing, sitting or lying. A healthy spine alignment is normal, supported by ligaments and muscles that balance this alignment. Every movement against gravity is designed to be balanced on the side of our spine.
Incorrect sitting, posture and habits or inappropriate seat, vehicle use disrupts the functions of the spine and makes it vulnerable to injury.
If the Source of Neck, Back and Low Back Pain is the Spine; Assessing Priority Sequence
Accurate diagnosis is possible with examination:Spinal alignment should be evaluated in an upright and lying position with orthoroentgenographic evaluations, with films taken from feet to the skull. If the problems detected in static standing radiographs indicate spine malalignment, bending radiographs and if necessary dynamic evaluations should be performed. It is inevitable that short legs and gait disturbances affect the dynamics of the spine. Flatfoot and rotational problems impair spine function. Any joint disease (meniscus, ligament ruptures, hip pincer lesion, varus-valgus) that makes the gait limp should be corrected with treatment.
If there is no misalignment:The cause of spinal pain, especially the pain and loss of strength reflected on the arm and leg, and numbness is the “hernia” disease. Hernia occurs due to the displacement of the pillow called the disc between the vertebrae, tearing and compression of the nerve. In cases where hernias do not resolve with medication-rest and physical therapy, they may need to be removed. As long as the pressure on the nerve continues, loss of strength and sensation disorders may become permanent and surgical treatment cannot be benefited.
Surgical treatment of Neck-Back and Lumbar Hernia: Hernias that are delayed to heal with medication or physical therapy or that require rest at least three times a year should be treated surgically. Surgery will be planned immediately if nerve damage has occurred..
Surgical treatment can be applied by open or closed methods.
Closed or Minimally Invasive Endoscopic Disc surgery is the first option in our practice.
Closed operations are superior to open surgery in terms of reaching the hernia area directly with a 7 mm camera and preserving the disc structure and removing only the herniated part. This surgical technique, which is becoming more and more widespread, will allow the abandonment of open surgical methods over time.
If the hernia cannot be removed by closed methods …
Open surgical methods can be used. Closed endoscopic surgeries may be insufficient in complex cases that move to the middle regions or are attached to the surrounding area. In this case, open surgery is preferred.
Will the treatment affect your daily life and work life?
Every person’s daily life expectancy and work life differs. The physician’s decision may change from recessive treatments to minimally invasive closed endoscopic surgical treatments, while determining the rest and recovery time. Remember! The spine is the axis of our body and it keeps us alive.
It takes a very short time to regain the old mobility after the treatment.
Closed surgeries open surgical wounds through small incisions. Your recovery period requires you to continue your daily life by limiting some of the activities with the recommendation of a doctor, even if you get up immediately. Immediately returning to your busy work life may cause serious situations such as discitis that require bed rest again.